Pediatrics Evaluation and Management

CPT code 99466 designates initial hospital care for the neonate, requiring a comprehensive history, examination, and medical decision-making of extremely high complexity. This code is applied when healthcare providers deliver initial hospital care to neonates, involving a comprehensive assessment that includes a detailed history, examination, and medical decision-making of extremely high complexity.

Details

CPT code:

99466

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services

Type:

Pediatric Critical Care Patient Transport

Within the realm of neonatal care, 99466 plays a crucial role, representing the provision of initial hospital care for neonates. Healthcare providers utilize this code when delivering comprehensive care, involving a detailed history, examination, and medical decision-making of extremely high complexity. Its application ensures accurate documentation of efforts in the provision of highly specialized and extremely complex care to neonates in the hospital setting.

Under what category does Pediatrics Evaluation and Management fall?

Category I

What is the billing unit for Pediatrics Evaluation and Management?

Per Encounter

Modifiers

Clinical use

Subsequent hospital care, per day, for the evaluation and management of a patient.

Documentation

Complex chronic care management services, with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient; chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline; establishment or substantial revision of a comprehensive care plan. Document the chronic conditions, risk factors, and the comprehensive care plan, including the start and end times of the service.